Course Outline – Clinical Nutrition II FN 4453A 
                             School of Food and Nutritional Sciences 
           In the event of a COVID-19 resurgence during the course that necessitates the course moving 
           away from in-person delivery, course content may be delivered online either synchronously 
           (i.e., at the times indicated in the timetable) or asynchronously (e.g., posted on OWL for 
           students to view at their convenience). There may also be changes to any remaining 
           assessments at the discretion of the course instructor. In the event of a COVID-19 resurgence, 
           detailed information about the impact on this course will be communicated by the Office of 
           the Dean and by the course instructor.  
            
            
           General Information 
             Course #:  FN 4453A            
             Term:      Fall  
             Year:      2022 
             Course Day and Time:   Thursdays 11:30am to 2:30pm  
             Course Location:        St. James Room 303 
            
           Course Director:   
             Name: Dr. Janet Madill PhD RD FDC                       Section 530 
             E-mail: jmadill7@uwo.ca 
             Telephone number for office appointments:  x 28240 
             Office hours for students: as requested 
             Office location: UH 304 
           Instructor:   
             Name: Joy Hoard RD, MSc-HSED                            Section 530 
             E-mail: jhoard@uwo.ca   
             Telephone number for office appointments x 28154  
             Office hours for students: as requested     
             Office location: UH 107   
            
           Course Description 
             Advanced principles and practices of medical nutrition therapy and nutritional support. 
             Metabolic, anatomical and physiological alternations in selected diseases are the basis for 
             the implementation of dietary modifications. 
             Prerequisite(s): Biochemistry 2288A or Biochemistry 2280A, Foods and Nutrition 
             3351A/B. Registration in the Honors Specialization in Nutrition and Dietetics module. 
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                 *Students who enrolled in the HSp Nutr Diet prior to fall 2019 will be able to complete the 
                 module with the previous modular requirements and pre-requisites listed: Biochemistry 
                 2280a or 2288a, and Foods and Nutrition 3351a.  Registration restricted to students in the 
                 Foods and Nutrition Programs. 
                 Extra Information: 3 lecture hours. 
              Evaluation 
              Evaluation breakdown: 
               Component                                 Weight  Date                  Learning  BC*  ICDEP* 
                                                                                       Outcome 
               Mid-term exam                             33%        Oct 27th                         1-4     1.03 a-c, 1.06, 
               This exam will include the                                                                    2.02, 2.04a, 
               material covered in class and                                                                 2.06a, 4.04, 
               the assigned readings from                                                                    5.01(except 
               lecture 1 up to and including                                                                 5.01 k) to 5.05 
               lecture 6.                                                                                    (except 5.04 b 
                                                                                                             & c) 
               Case Studies                              32%        1 - Oct. 6         3,4           1-      1.06, 2.02, 
               2 Case studies-in groups of 2,                       2 – Nov 24                       4,6,7  2.03a, 2.04, 
               worth 16% each [14% case, 2%                                                                  2.06a, 2.08, 
               reflection, for each case study],                                                             2.10, 3.01-
               you will hand in one reflection                                                               3.06, 
               for each group member, due on                                                                 5.01(except 
               the same day as your case                                                                     5.01 k) to 5.05 
                                                                                                             (except 5.04 b 
                                                                                                             & c) 
                                                                                                              
               Final Exam                                35%        TBA                3,4           1-4,    1.03 a-c, 1.06, 
               This exam will include the                           (Dec.10 -                                2.02, 2.04a, 
               material covered in class and the                    Dec.22)                                  2.06a, 4.04, 
               assigned readings from lecture 7 to                                                           5.01(except 
               lecture 13.                                                                                   5.01 k) to 5.05 
                                                                                                             (except 5.04 b 
                                                                                                             & c) 
              *BC: Brescia Competencies  
              *ICDEP: Integrated Competencies for Dietetic Education and Practice 
               
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             Course Content 
                Topics will be covered in the order listed and any dates listed are meant as a guideline. 
               Class/Topic     Date         Description                                  Assignments and/or 
                                                                                         Readings Due 
                                            e.g., topic, content, associated readings,   e.g., quiz, paper, group 
                                            activities.                                  project, exam. 
               1               Sept 8       Course Outline, Living Learning               
                                            Contract; Transplantation, review of 
                                            Problem/Need, Interpretation, Plan, 
                                            [PIP] and Transplant Case Study 
                                            Introduction to charting  
               2               Sept 15      Malnutrition                                  
                                                                                          
               3               Sept 22      Nutrition Support: Enteral Nutrition         Case Study 1 to be handed 
                                                                                         out to students.  
               4               Sept 29      Nutrition and Disease of Liver, NAFLD    
                                            and Pancreas  
               5               Oct 6        Nutrition and Cancer                         Case Study 1 due 
               6               Oct 13       Diabetes Mellitus, Type 1                     
               7               Oct 20       Nutrition and Surgery of the Upper            
                                            Gastrointestinal Tract 
               8               Oct 27       Mid-term exam                                Includes lectures 1-6 and all 
                                                                                         assigned readings  
                               Nov 3        Reading week                                  
               9               Nov 10       Nutrition Support: Parenteral Nutrition  Case Study 2 to be handed 
                                            Part 1                                       out to students.  
               10              Nov 17       Nutrition Support: Parenteral Nutrition   
                                            Part 2   
               11              Nov 24       COPD and Mental Health                       Case Study 2 due 
               12              Dec 1        Inflammatory bowel disease [IBD]              
                                                                                                           Page 3 | 13 
              
                                                                    
              13               Dec 8       Bowel Surgery and Short Bowel                
                                           Syndrome 
                                           Final exam TBD                              Includes lecture 7-13 and all 
                                                                                       assigned readings, it is NOT 
                                                                                       cumulative.  
              
             Learning Outcomes 
                Upon successful completion of this course, students will be able to demonstrate the Brescia 
                Competencies of Communication, Critical Thinking, Inquiry & Analysis, Problem Solving, 
                Self-Awareness and Development, Social Awareness and Engagement.  
                1.   To discuss the metabolic and physiological alterations in selected diseases as a basis 
                     for diet modification for therapeutic purposes. [Critical Thinking, Inquiry & Analysis, 
                     Problem Solving, Level 4] 
                2.   To explain the relationships between nutrition, illness, and immunity. [Critical 
                     Thinking, Inquiry & Analysis, Problem Solving, Level 4, Communication level 4] 
                3.   To research current issues on the nutritional management of selected diseases and 
                     clinical conditions. [Critical Thinking, Inquiry & Analysis, Problem Solving, Level 4] 
                4.   To complete case studies, which will promote in-depth understanding of the 
                     relationships between clinical conditions and nutrition modifications. [Critical 
                     Thinking, Inquiry & Analysis, Problem Solving, Level 4, Communication, Level 4] 
                5.   To understand how to formulate a basic nutrition care plan, with patient-centered and 
                     measurable nutrition goals. [Self-Awareness and Development, Level 4] 
                6.   To begin to think like a clinician and following patient-centered care practices [Self-
                     Awareness and Development, Level 4]  
                7.   To learn to act as each patients’ nutritional ombudsman [Social Awareness and 
                     Engagement, level 3] 
              
             Brescia Competencies 
                1. Communication 
                The ability to exchange information and meaning across cultures, space, and time 
                appropriately and correctly. This competency includes oral, written, and interpersonal 
                communication, and the ability to use current or innovative media. 
                2. Critical Thinking 
                The ability to engage in thinking characterized by the rational, informed, independent, and 
                open-minded exploration of issues, ideas, and events before accepting or formulating a 
                conclusion. 
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